scholarly journals Clinical characteristics and cerebrospinal fluid parameters in patients with peripheral facial palsy caused by Lyme neuroborreliosis compared with facial palsy of unknown origin (Bell's palsy)

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Bremell ◽  
Lars Hagberg
Keyword(s):  
Cerebrospinal Fluid ◽  
Facial Palsy ◽  
Clinical Characteristics ◽  
Unknown Origin ◽  
Bell’S Palsy ◽  
Lyme Neuroborreliosis ◽  
Bell's Palsy ◽  
Peripheral Facial Palsy ◽  
Fluid Parameters

Adjunctive Corticosteroids for Lyme Neuroborreliosis Peripheral Facial Palsy – a prospective study with historical controls

2021 ◽  
Author(s):  
Sanna Avellan ◽  
Daniel Bremell
Keyword(s):  
Facial Palsy ◽  
Bell’S Palsy ◽  
Lyme Neuroborreliosis ◽  
Control Group ◽  
Study Group ◽  
Bell's Palsy ◽  
Oral Doxycycline ◽  
Peripheral Facial Palsy ◽  
Historical Controls

Abstract Background Lyme neuroborreliosis peripheral facial palsy (LNB PFP) and idiopathic peripheral facial palsy, Bell’s palsy (BP), are the most common causes of facial palsy in borrelia-endemic areas and are clinically similar. Early treatment with corticosteroids has been shown to be effective in Bell’s palsy and antibiotics improve outcome in LNB, but there is a lack of knowledge on how the addition of corticosteroids to standard antibiotic treatment affects outcome in LNB PFP. Methods This prospective open trial with historical controls was conducted at two large hospitals in western Sweden between 2011 and 2018. Adults presenting with LNB PFP were included in the study group and were treated with oral doxycycline 200 mg b.i.d. for 10 days and prednisolone 60 mg o.d. for 5 days, then tapered over 5 days. The historical controls were adult patients with LNB PFP included in previous studies and treated with oral doxycycline. Both groups underwent a follow-up lumbar puncture and were followed until complete recovery or for 12 months. Results Fifty-seven patients were included, 27 in the study group and 30 in the control group. Two patients (6%) in the study group and 6 patients (20%) in the control group suffered from sequelae at end follow up. There was no statistically significant difference between the groups, neither in the proportion of patients with sequelae, nor in the decline in CSF mononuclear cell count. Conclusions Adjunctive corticosteroids neither improve nor impair the outcome for patients with Lyme neuroborreliosis peripheral facial palsy treated with doxycycline.

scholarly journals Facial Diplegia as Initial Manifestation of Acute, Myelomonocytic Leukemia with Isolated Trisomy 47, XY,+11[14]/46, XY[6]

2017 ◽  
Vol 08 (03) ◽  
pp. 451-454
Author(s):  
Josef Finsterer ◽  
Michael Panny
Keyword(s):  
Clinical Manifestation ◽  
Facial Palsy ◽  
Leukocyte Count ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Initial Manifestation ◽  
Neurologic Manifestation ◽  
Peripheral Facial Palsy ◽  
Facial Diplegia ◽  
Myelomonocytic Leukemia

ABSTRACTBilateral peripheral facial palsy (facial diplegia) has been repeatedly reported as a neurologic manifestation of acute myeloid leukemia but has not been reported as the initial clinical manifestation of myelomonocytic leukemia. A 71-year-old male developed left-sided peripheral facial palsy being interpreted and treated as Bell’s palsy. C-reactive protein (CRP) and leukocyte count 4 days later were 2.5 mg/l and 16 G/l, respectively. Steroids were ineffective. Seven days after onset, he developed right-sided peripheral facial palsy. Three days later, CRP and leukocyte count were 234.3 mg/l and 59.5 G/l, respectively. Cerebrospinal fluid investigations revealed pleocytosis (62/3) and elevated protein (54.9 mg/dl). Two days later, pleocytosis and leukocytosis were attributed to myelomonocytic leukemia. Leukemic meningeosis was treated with cytarabine and methotrexate intrathecally. In addition, cytarabine and idarubicin were applied intravenously. Under this regimen, facial diplegia gradually improved. Facial diplegia may be the initial clinical manifestation of myelomonocytic leukemia, facial diplegia obligatorily requires lumbar puncture, and unilateral peripheral facial palsy is not always Bell’s palsy. Patients with alleged unilateral Bell’s palsy and slightly elevated leukocytes require close follow-up and more extensive investigations than patients without abnormal blood tests.

scholarly journals A rare case of acquired infantile Bell’s palsy

2021 ◽  
Vol 8 (7) ◽  
pp. 1316
Author(s):  
Lakshmi Mulinja ◽  
Thanzir Mohammed ◽  
Varun Govindarajan ◽  
Mallesh Kariyappa
Keyword(s):  
Case Report ◽  
Facial Palsy ◽  
Rare Case ◽  
Bell’S Palsy ◽  
Acute Onset ◽  
Spontaneous Resolution ◽  
Bell's Palsy ◽  
Peripheral Facial Palsy ◽  
Oral Corticosteroids ◽  
Viral Illness

Bell’s palsy, an acute onset, acquired, isolated peripheral facial palsy, usually follows a viral illness, is common disorder post infancy to adolescence. It has a favourable prognosis with spontaneous resolution, or with use of oral corticosteroids. Its presentation in early infancy is very unusual, as in our case report of 3 month old infant with an ovoid mass lesion in parotid, which disappeared after therapy with corticosteroids with no residual deficit.

scholarly journals Protracted COVID-19 during Treatment of Facial Palsy

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Mehrdad Hasibi ◽  
Maral Seyed Ahadi ◽  
Hamed Abdollahi ◽  
Mehrdad Jafari
Keyword(s):  
Facial Palsy ◽  
Antiviral Treatment ◽  
Complete Recovery ◽  
Bell’S Palsy ◽  
Concomitant Treatment ◽  
Neurologic Manifestations ◽  
Bell's Palsy ◽  
Peripheral Facial Palsy ◽  
Case Summary

Neurologic manifestations are increasingly reported as the coronavirus disease 2019 (COVID-19) pandemic continues. This is a report of a COVID-19 patient with Bell's palsy. Case Summary. A 52-year-old man with fever and malaise was tested positive for COVID-19. After a week, he developed right-sided peripheral facial palsy and was treated with corticosteroids in conjunction with antiviral treatment which resulted in complete recovery. Discussion. Concomitant treatment of corticosteroids and antiviral treatment can decrease morbidity in patients with COVID-19-related Bell's palsy.

scholarly journals Melkersson–Rosenthal syndrome misdiagnosed as recurrent Bell’s palsy: a case report and review of literature

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Yared Zenebe Zewde
Keyword(s):  
Facial Palsy ◽  
Addis Ababa ◽  
Corticosteroid Treatment ◽  
Bell’S Palsy ◽  
High Dose ◽  
Bell's Palsy ◽  
Timely Initiation ◽  
Peripheral Facial Palsy ◽  
Facial Swelling ◽  
Fissured Tongue

Abstract Background Melkersson–Rosenthal syndrome (MRS) is a rare neuro-mucocutaneous disorder of unknown cause, clinically characterized by a triad of recurrent facial palsy, orofacial swelling, and fissured tongue. It is frequently seen in females in their second and third decades of life. MRS is diagnosed based on clinical features and it is rarely possible to observe all the classical triad symptoms at the same time. The disorder may cause recurring peripheral facial palsy that is wrongly diagnosed as recurrent Bell’s palsy Case presentation A 25-year-old female patient was presented to the neurology clinic of Tikur Anbessa Specialized Hospital in Addis Ababa complaining of recurrent left-side peripheral facial weakness, facial swelling and fissured tongue of 5 days duration. Her past medical history was positive for similar symptoms, for which she was diagnosed with Bell’s palsy and received oral corticosteroid treatment. On examination left side lower facial swelling with flat naso-labial fold and fissured tongue were identified. After excluding other mimickers, she was diagnosed with Melkersson–Rosenthal syndrome and completely recovered with high dose of corticosteroid treatment. Conclusion Melkersson–Rosenthal syndrome may present with the classic triads of symptoms, but mostly it shows an incomplete clinical pattern. Therefore, when clinicians including allergists encountered patients with facial swelling and facial palsy, they should have to consider MRS in their differential diagnosis and specifically assess for recurrent facial palsy and fissured tongue. Unlike true angioedema, the facial swelling in MRS often develops gradually and it might cause permanent swelling with cosmetic disfigurement from multiple relapses, which can be prevented by early detection and timely initiation of treatment.

EFFECTIVENESS OF NUEROMUSCULAR RE EDUCATION TECHNIQUE TO REDUCE FACIAL DISABILITY IN PATIENTS WITH BELL'S PALSY

2021 ◽  
pp. 78-80
Author(s):  
Singam Siva Sankar ◽  
Pasala Gopikrishna
Keyword(s):  
Facial Palsy ◽  
Conventional Therapy ◽  
Bell’S Palsy ◽  
Cranial Neuropathy ◽  
Facial Nerve Paralysis ◽  
Bell's Palsy ◽  
Nerve Paralysis ◽  
Peripheral Facial Palsy ◽  
Seventh Cranial Nerve ◽  
Group A

BACKGROUND AND OBJECTIVES: Facial nerve paralysis, because of the dysfunctional problems that can occur at the level of a very special part of the patients body, who gives their personality needs special consideration. Peripheral facial palsy is the most frequent cranial neuropathy, and can origin from various kinds of damage to the seventh cranial nerve. Idiopathic facial palsy or Bell's palsy is the most frequent cause of facial paralysis occurs in 15 - 30 Persons per 100,000 per year. METHODS: 30 subjects having facial disability who full lled with the inclusion criteria and randomly assigned. Group A and B with 15 subjects in each group. Group A subjects are treated with conventional therapy and Group B subjects are treated with Neuromuscular reeducation techniques for 4 weeks. The outcome of this intervention was measured with Facial Disability Index (FDI). These recorded before and after the session of 4 weeks of intervention. RESULTS: Statistical analysis of the data revealed that within group comparison both groups showed signicant reduction of facial disability in conventional therapy and Neuromuscular re-education. CONCLUSION: Finally the study concluded that 4 weeks of training program with Neuromuscular re-education showed signicant improvement when compared to conventional therapy.

Facial palsy following stapedectomy

1985 ◽  
Vol 99 (4) ◽  
pp. 387-388 ◽  
Author(s):  
Y. Zohar ◽  
N. Laurian
Keyword(s):  
Middle Ear ◽  
Facial Palsy ◽  
Bell’S Palsy ◽  
Middle Ear Surgery ◽  
Bell's Palsy ◽  
Ear Surgery ◽  
Surgical Exploration ◽  
Real Possibility ◽  
Peripheral Facial Palsy

AbstractA case of peripheral facial palsy which appeared 8 days following ipsilateral stapedectomy, was diagnosed as Bell's palsy.We stress the uncommon coincidence of the two events and the important implications in the treatment of a palsy appearing after middle ear surgery.Bell's palsy is an unusual but real possibility which should be borne in mind before deciding on extended surgical exploration.

Facial Palsy in Melkersson-Rosenthal Syndrome and Bell’s Palsy

2014 ◽  
Vol 124 (2) ◽  
pp. 107-109 ◽  
Author(s):  
Baochun Sun ◽  
Chengyong Zhou ◽  
Zeli Han
Keyword(s):  
Facial Palsy ◽  
Bell’S Palsy ◽  
Bell's Palsy
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